Patterns of Uveitis in a Tertiary Referral Center in Indonesia: A Retrospective Study
Purpose
Up to 1/4 of blindness might be caused by uveitis, especially in developing countries due to infectious etiology.Recognizing uveitis clinical patterns is essential to establish an etiological diagnosis, which varies between regions.This knowledge will help a physician to provide timely management.We aimed to update the epidemiological, clinical, and laboratory characteristics among uveitis patients referred to tertiary referral center in Indonesia.
Methods
A retrospective descriptive study using medical records data of 299 patients with uveitis in 2 years.
Results
Of 299 patients, 50.8% were men with median age of 36.Most cases were unilateral with most frequent anatomic entity was panuveitis (53.2%).Infectious etiology was still common, mainly due to toxoplasmosis (32.1%) and tuberculosis (19.7%).Serological test IgG Toxoplasma and CMV were predominantly reactive in tested patients despite various final diagnoses.On presentation, 35% were categorized as blind, and ultimately 60% of them were without improvement.Complications were found in 55% patients, including cataracts (44%) and glaucoma (10%), overall contributing to 66% of blindness in our series.
Conclusion
Panuveitis and infectious etiology (toxoplasmosis and tuberculosis) were the most common uveitis.They were better distinguished by clinical pattern instead of laboratory results.Knowledge of uveitis pattern in each region, especially clinical features, can help physicians diagnose before performing expensive ancillary tests.Ocular complications were related to severe visual function; thus, well-timed referral in severe cases is essential.
Conflict of interest
No
Authors 1
Last name
ANISSA
Initials of first name(s)
GH
Department
Ophthalmology
City
Jakarta
Country
Indonesia
Authors 2
Last name
LA DISTIA NORA
Initials of first name(s)
R
Department
Ophthalmology
City
Jakarta
Country
Indonesia
Authors 3
Last name
Sitompul
Initials of first name(s)
R
Department
Ophthalmology
City
Jakarta
Country
Indonesia
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